<form action="<{link app=b2c ctl='site_feedback' act='create' }>" method="post">
	<ul>
	    <li class="form-item" style="height:auto;margin-bottom: 20px;">
			<label for="" class="form-label"><em class="warn">*</em><{t}>姓名：<{/t}></label><span class="form-act"><{input type="text" id="" name="name" class="x-input" placeholder=$___b2c="请输入姓名"|t:'b2c' vtype="required"}><span class="validation-messagebox"></span></span>
		</li>
	    <li style="margin-bottom:20px">
			<label for="" class="form-label"><em class="warn">*</em><{t}>电话：<{/t}></label>
			<span class="form-act">
				<{if $phones}>
					<!--手机验证-->
				<select name="phone_setting" style="border: 1px solid #ccc;padding: 10px;">
					<{foreach from=$phones item=items}>
					<option sid=<{$items.length}> value=<{$items.area}>><{$items.country}><{$items.area}></option>
					<{/foreach}>
				</select>
				<{input type="text" name="tel" signup_type="mobile"  placeholder=$___b2c="请填写手机号"|t:'b2c' vtype="required" id="check_tel"  style="width:195px;"}>
				<{else}>
				<{input type="text" name="tel" signup_type="mobile"  placeholder=$___b2c="请填写手机号"|t:'b2c' id="check_tel" style="width:195px;"}>
				<{/if}>
			</span>
		</li>
		<li style="margin-bottom:20px">
			<label for="" class="form-label"><em class="warn">*</em><{t}>反馈意见：<{/t}></label>
			<span class="form-act text-er">
				<textarea cols="30" rows="6" style="width:388px;margin-bottom:10px" name="content" vtype="required"></textarea>
			</span>
		</li>
		<li class="form-item-normal">
			<label for="" class="form-label"></label>
			<span class="form-act">
			<{assign var='label' value='提　交'}>
			<{button id="btn1" type="submit" class="btn-major btn-big" label=$__b2c=$label|t:'b2c' rel="_request"}>
			</span>
		</li>
	</ul>
</form>